USMLE Review Questions: Internal Medicine

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USMLE Review Questions: Internal Medicine

We want our medical students to get ready for the Step 2 CK examinations, so let’s not waste any time. For a correct response, give yourself 1 donut. For an incorrect response… who cares? Go ahead and have yourself 2 donuts. Good luck!

A 34-year-old woman has a worsening cough for 3 months productive of urine. She denies any fevers, shortness of breath, or pet scorpions. Physical examination is deferred. A chest radiograph is misplaced. Physical therapy (PT) recommends a rolling walker. Which of the following is the most appropriate next step in management?

Barium enema

Placement

Call Pulmonology and Urology for help with possible tracheovesicular fistula

Buy a vowel

Correct!

Wrong!

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A 23-year-old male with no past medical history presents with chest pain after being kicked by a donkey. The chest pain is reproducible on exam. An electrocardiogram has the wrong patient label on it. Troponins are still ordered as STAT. What is the best name for a donkey?

Jack

Dysdiadochokinesia

Donkey

Agamemnon

Correct!

Wrong!

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A 59-year-old steak-eating and beer-drinking male with a history of gout presents with a hot, red, swollen, and painful left big toe. Physical examination reveals a vulgar vocabulary with manipulation of the left big toe. He is diagnosed with an acute gouty flare. Which of the following is the most likely diagnosis?

Cryptococcal meningitis

Secondary syphilis

Focal segmental glomerulosclerosis

Acute gouty flare

Correct!

Wrong!

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A 40-year-old female with mild-intermittent asthma has a fever for 2 days. She denies cough, but admits to coughing. Physical examination is positive. Laboratories and imaging are unavailable since the computer system is down again. Which of the following is the most appropriate next step in management?

Call information technology (IT) to get computers up and running

Empiric everything: vancomycin, piperacillin-tazobactam, acyclovir, amphotericin B, you name it